Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.77 / $2,272.03 / $14,482.00	Facility		$1,402.77	$2,272.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.52 / $1,402.77 / $4,114.00	Professional		$920.52	$1,402.77	$4,114.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.58 / $2,723.33 / $7,109.13	Professional		$1,116.58	$2,723.33	$7,109.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,819.60 / $3,294.93 / $5,314.61	Facility		$2,819.60	$3,294.93	$5,314.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.60 / $3,426.28 / $4,923.85	Professional		$1,918.60	$3,426.28	$4,923.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,110.77 / $1,563.23 / $2,517.46	Facility		$1,110.77	$1,563.23	$2,517.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,270.50 / $2,636.03 / $7,700.00	Facility		$1,270.50	$2,636.03	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,351.94 / $3,624.36 / $10,232.77	Professional		$1,351.94	$3,624.36	$10,232.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $969.84 / $2,587.14	Professional		$105.27	$969.84	$2,587.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,110.77 / $1,563.23 / $2,517.46	Facility		$1,110.77	$1,563.23	$2,517.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,301.00 / $3,553.10 / $4,606.46	Professional		$2,301.00	$3,553.10	$4,606.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,158.55 / $12,158.55 / $12,158.55	Facility		$12,158.55	$12,158.55	$12,158.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,966.80 / $5,568.55 / $10,997.00	Professional		$1,966.80	$5,568.55	$10,997.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,778.82 / $5,778.82 / $5,778.82	Professional		$5,778.82	$5,778.82	$5,778.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,732.88 / $7,677.68 / $7,677.68	Professional		$5,732.88	$7,677.68	$7,677.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.94 / $3,614.22 / $5,494.89	Professional		$1,351.94	$3,614.22	$5,494.89